Individual
MIKE C MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
605 16TH ST, GULFPORT, MS 39507-1302
(228) 896-7404
(228) 896-6048
Mailing address
605 16TH ST, GULFPORT, MS 39507-1302
(228) 896-7404
(228) 896-6048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1985-82
MS
Other
Enumeration date
07/26/2007
Last updated
08/18/2015
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